THIRTEENTH AVENUE PHARMACY
Suppliers at 13 Ave, Choctaw, MS

License number
Mississippi 01527
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: KYLE MAULDIN R.PH.
Title: OWNER PHARMACIST
Phone: (601) 428-7257
Address
Address
216 S 13Th Ave, Choctaw, MS 39440
National Provider ID: 1689898579
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Thirteenth Avenue Pharmacy

Choctaw, MS  -  Quitman, MS

Status:
Inactive
Industry:
Ret Drug Store
Doing business as:
Health Mart
Phone:
(601) 428-0431 (Phone)
Addresses:
216 S 13 Ave, Choctaw, MS 39440
PO Box 93, Quitman, MS 39355
Owner, Pharmacist, Pharmacist Owener:
Kyle Mauldin Owner, Pharmacist, Pharmacist Owener, inactive

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